Provider Demographics
NPI:1588257877
Name:FOXWELL, ASHLEA NICOLE (CBS)
Entity type:Individual
Prefix:
First Name:ASHLEA
Middle Name:NICOLE
Last Name:FOXWELL
Suffix:
Gender:F
Credentials:CBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5505 MALLARD LN
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-3497
Mailing Address - Country:US
Mailing Address - Phone:443-787-3025
Mailing Address - Fax:
Practice Address - Street 1:5505 MALLARD LN
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-3497
Practice Address - Country:US
Practice Address - Phone:443-787-3025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR234140163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant